Cullen

The Consultation Letters of Dr William Cullen (1710-1790) at the Royal College of Physicians of Edinburgh

 

[ID:281] From: Dr William Cullen (Professor Cullen) / To: Mr Robert Wallace / Regarding: Mr James Fleming (Patient) / 27 February 1782 / (Outgoing)

Reply, 'Mr Fleming'; Cullen is afraid that his ailment arises from a 'schirrous Straitening of the Oesophagus'.

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Metadata

FieldData
DOC ID 281
RCPE Catalogue Number CUL/1/1/14/170
Main Language English
Document Direction Outgoing
Date27 February 1782
Annotation None
TypeMachine scribal copy
Enclosure(s) No enclosure(s)
Autopsy No
Recipe No
Regimen No
Letter of Introduction No
Case Note No
Summary Reply, 'Mr Fleming'; Cullen is afraid that his ailment arises from a 'schirrous Straitening of the Oesophagus'.
Manuscript Incomplete? No
Evidence of Commercial Posting No

Case

Cases that this document belongs to:

Case ID Description Num Docs
[Case ID:863]
Case of Cullen's 'old aquaintance' Mr James Fleming who has an obstructed oesophagus which proves fatal. May be same person as Case 276.
10


People linked to this document

Person IDRole in documentPerson
[PERS ID:1]AuthorDr William Cullen (Professor Cullen)
[PERS ID:216]AddresseeMr Robert Wallace
[PERS ID:2820]PatientMr James Fleming
[PERS ID:2830]Patient's Physician / Surgeon / ApothecaryDr Peter Wright
[PERS ID:1]Patient's Physician / Surgeon / ApothecaryDr William Cullen (Professor Cullen)
[PERS ID:216]Patient's Physician / Surgeon / ApothecaryMr Robert Wallace

Places linked to this document

Role in document Specific Place Settlements / Areas Region Country Global Region Confidence
Place of Writing Cullen's House / Mint Close Edinburgh Edinburgh and East Scotland Europe certain
Destination of Letter Glasgow Glasgow and West Scotland Europe inferred

Normalized Text

[Page 1]

Mr Fleming.

Dear Sir


I am heartely concerned for my old friend Mr.
Fleming and especially as I fear his Ailment may be very
obstinate and perhaps incurable I am much afraid it depend
upon a Schirrous Straitening of the Œsophagus for which
I think Dr. Wright and you have been taking every
proper measures but as there is frequently in such cases
an Occasional Spasmodic constriction I therefore proposed
a trial of the Æther & still think that you might from time
to time make a trial of it. Since I wrote you formerly I have
found a very good way of applying it, and that as, by taking
a little very soft Crumb of bread and making it into a soft
Bolus with a little melted butter with which a Tea Spoonfull
of Æther has been previously mixed. However this is
but a palliative and a radical Cure will with more pro¬
bability be obtained, at least attempted by the Mercury
and which I think must still go further and I think
too it might go faster than it does. I would make no
objection to your employing the Calomel but I must say
that I have always found the Mercurial Pill properly



[Page 2]

prepared or a Mercurial Unction more manageable than
the Calomel but I leave the matter to Dr. Wright's & your
discretion as I do also the Doctors embrocation for the Sternum
willingly indulging any prescription he may think proper
with a Valeat quantum valere potest. With my best
Compliments to him and Mr. Fleming I am most Sincerely
and affectionately Dear Robert


Yours &c.

William Cullen

Edinburgh
27th. February
1782.

Diplomatic Text

[Page 1]

Mr Fleming.

Dear Sir


I am heartely concerned for my old friend Mr.
Fleming and especially as I fear his Ailment may be very
obstinate and perhaps incurable I am much afraid it depend
upon a Schirrous Straitening of the Œsophagus for which
I think Dr. Wright and you have been taking every
proper measures but as there is frequently in such cases
an Occasional Spasmodic constriction I therefore proposed
a trial of the Æther & still think that you might from time
to time make a trial of it. Since I wrote you formerly I have
found a very good way of applying it, and that as, by taking
a little very soft Crumb of bread and making it into a soft
Bolus with a little melted butter with which a Tea Spoonfull
of Æther has been previously mixed. However this is
but a palliative and a radical Cure will with more pro¬
bability be obtained, at least attempted by the Mercury
and which I think must still go further and I think
too it might go faster than it does. I would make no
objection to your employing the Calomel but I must say
that I have always found the Mercurial Pill properly



[Page 2]

prepared or a Mercurial Unction more manageable than
the Calomel but I leave the matter to Dr. Wright's & your
discretion as I do also the Doctors embrocation for the Sternum
willingly indulging any prescription he may think proper
with a Valeat quantum valere potest. With my best
Compliments to him and Mr. Fleming I am most Sincerely
and affectionately Dear Robert


Yours &c.

William Cullen

Edinr.
27th. Febr.
1782.

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